Because open enrollment ended on December 15, 2017, you can only enroll if you've experienced a qualifying life event.
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This is the last step. You must click the SUBMIT button at the bottom of the page
Confirm and Sign
Before submitting your application, please review and verify that you agree with the statements below:
- No one applying for coverage is in jail.
- I will notify the insurer if anything on this application changes. I can do this through the federal marketplace. I understand a change could affect our eligibility for plans and subsidies.
- I give permission to the federal marketplace to access my tax returns for up to 5 years to verify my income for subsidy purposes. I can revoke this permission at anytime.
- I'm signing this application under penalty of perjury, which means I've provided true answers to all of the questions to the best of my knowledge. I know that I may be subject to penalties under federal law if I intentionally provide false or untrue information.
- If anyone on this application enrolls in Medicaid, I'm giving the Medicaid agency our rights to pursue and get any money from other health insurance, legal settlements, or other third parties. I'm also giving to the Medicaid agency rights to pursue and get medical support from a spouse or parent.
- If a child on this application has a parent living outside the home, I know I'll be asked to cooperate with the agency that collects medical support from an absent parent. If I think that cooperating to collect medical support will harm me or my children, I can tell the agency and I may not have to cooperate.
- I acknowledge iHealthAgents as my agent of record and authorize them to submit and sign this application on my behalf.
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Questions? Read More Here
Has anyone applying for coverage smoked cigarettes or used any tobacco products in the past 6 months?
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